Lutz, Kevin William

Lutz, Kevin William is an individual health care provider with primary practice located at 720 E Broad St Suite 100, Columbus OH 43215-3988. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Lutz, Kevin William can be contacted via phone (614) 461-6634.

Contact Information

Primary practice address
720 E Broad St Suite 100 Columbus OH 43215-3988
Phone: (614) 461-6634
Fax: (614) 461-7136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36003275 Ohio

Profile Details

NPI number 1932195021
LBN Legal business name Lutz, Kevin William
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Dec 23rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932195021 NPPES
Ohio Other 11108332 CAQH
Ohio MEDICAID 2458648 CAQH

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